Bielawski, Regina M

Bielawski, Regina M is an individual health care provider with primary practice located at 841 Prudential Dr Ste 180 , Jacksonville FL 32207-8350. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Bielawski, Regina M can be contacted via phone (904) 202-4600.

Contact Information

Primary practice address
841 Prudential Dr Ste 180 Jacksonville FL 32207-8350
Phone: (904) 202-4600
Fax: (904) 202-4638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME53605 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME53605 Florida

Profile Details

NPI number 1316943855
LBN Legal business name Bielawski, Regina M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Aug 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316943855 NPPES
Florida MEDICAID 009169600
Florida Other P01220904

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